eMedinewS23rd May 2014, Friday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04);
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

ABO Blood Type is a Risk Factor for Coronary Heart Disease

Two prospective cohort studies have identified the ABO blood group as a risk factor for the development of heart disease. People with blood groups A, B, or AB were 5–23% more likely to develop coronary heart disease compared with those with O blood type. The study by Dr Meian He from Harvard School of Public Health, Boston, MA included 62 073 women from the Nurses’ Health Study (NHS) and 27 428 men from the Health Professionals Follow–up Study (HPFS) and is published in the September 2012 issue of Arteriosclerosis, Thrombosis, and Vascular Biology.

In the NHS and HPFS, the incident rates of coronary heart disease per 100 000 person–years were 125, 128, 142, and 161 for women with type O, A, B, and AB, respectively, and 373, 382, 387, and 524 for men with type O, A, B, and AB, respectively. Compared with individuals with O blood type, individuals with blood group A, B, or AB had a respective 5%, 11%, and 23% increased risk of developing coronary heart disease in an age–adjusted model.

In non–O individuals, plasma levels of factor VIII–von Willebrand factor (vWF) are approximately 25% higher than in individuals with type O blood type. Elevated levels of factor VIII–vWF have been previously identified as a risk factor for coronary heart disease. The vWF has an important role in hemostasis and thrombosis by mediating platelet adhesion to the vascular wall, especially under high shear stress conditions

News Around The Globe

  • A study published online in the Annals of the Rheumatic Diseases has stated that overweight or obese patients with rheumatoid arthritis (RA) have 51% lower odds of achieving low disease activity after either 3 or 6 months of DMARD treatment, 42% lower odds of remission at 6 months, and 43% lower odds of pain remission at 3 months compared with normal-weight patients with early RA.
  • The American College of Obstetricians and Gynecologists has issued first-time guidelines regarding the evaluation of uncomplicated stress urinary incontinence (SUI) before surgical treatment in women. The opinion is published in the June issue of Obstetrics & Gynecology.
  • A study published online May 21 in BJOG has revealed that maternal depression is more common at 4 years postpartum than at any time during the first 12 months, more so among women who do not have another child during those 4 years.
  • A new phase III study has suggested that the antifibrotic drug pirfenidone has the potential to reduce disease progression and mortality and improve progression–free survival in patients with idiopathic pulmonary fibrosis. The findings were presented at the American Thoracic Society 2014 International Conference.
  • A study published online in PLoS One revealed that even a single episode of binge drinking may have serious adverse effects. Researchers noted that binge drinking led to a rapid increase in serum endotoxin and 16S rDNA, a marker for bacterial leakage from the gut.

Rabies News (Dr A K Gupta)

Can the IM and ID routes of vaccination be used interchangeably?

Many internationally reputed experts recommend that the phenomenon of mixing of IM and ID schedules is not to be practiced and must be avoided as far as possible.

Cardiology eMedinewS

  • Use of morphine in patients undergoing primary PCI for STEMI may delay the onset of action with novel oral antiplatelet agents, thereby exposing patients to risk, reports a novel analysis presented at EuroPCR 2014.
  • Increasing severity of heart failure may be associated with an increasing risk of type 2 diabetes, reports an evaluation of a Danish national cohort of patients with heart failure. During a 10–year follow–up, patients with the most severe heart failure had a three–fold increased risk of developing diabetes than patients with the least severe heart failure. The study was published online May 20 in Diabetologia.

Pediatrics eMedinewS

  • The use of insulin like growth factor–1 (IGF–1) possibly improves symptoms of social withdrawal and repetitive behaviors in children with Phelan–McDermid syndrome (PMS), a genetic cause of a small proportion of cases of autism spectrum disorder (ASD), report early trial results presented at the 13th Annual International Meeting for Autism Research (IMFAR).
  • A study published in the International Journal of Behavioral Nutrition and Physical Activity has shown that low levels of physical activity along with heavy use of electronic media and sedentary behavior are associated with an increased risk for type 2 diabetes and vascular diseases in 6–8 year–old children.

Dr K K Spiritual Blog

Allopathic Medical Vrat

There was a time when everybody in India, especially women, observed fast on a regular basis. In my childhood, I saw my mother not only observing fast herself but also insisting upon my sisters to observe fast once in a week, an extra fast once in a month and observe the two Navratras in a year of 9 days each. In total, this comes out to be around 80 fasts in a year.

When I go back to my childhood, I remember the fast used to be one day of avoiding cereals altogether. We were allowed to eat Roti made of Kuttu flour, singharha flour, samak rice and dal made of chaulai (all fruits).

In our childhood, we could never understand the meaning of fast. Today India is becoming a hub of diabetes, heart diseases and insulin resistance and all of them are linked with not observing fasts or eating high carb diets every day.

The culprit is eating carbohydrates, especially, refined carbohydrates. When we recall our mythology, only one king Raja Dashrath died of heart attack. This only signifies that our mythological lifestyle was preventing heart diseases in India. The western culture which is now spreading rapidly in India involves eating carbohydrates, especially, refined carbohydrates (white sugar, white rice white maida) every day.

I recently did a survey and found that women who do weekly vrats had a lower incidence of metabolic syndrome.

Today’s girls and women do not want to listen to the word ‘vrata’ or ‘spiritual vrata’.

Therefore, they must be made to understand the same in the language of a ‘medical vrata’. The simpler version of ‘vrata’ can be – not eating carbohydrates at all once in a week and replacing them with fruits and vegetables.

I normally suggest that once in a week, one should eat only fruits and vegetables and at the most can have milk, curd. If still someone has desires, they can have besan ka chila.

Wellness Blog

3 simple ways for a restful sleep

  1. Cut down on caffeine: Caffeine drinkers may find it harder to fall asleep. Even a single cup of coffee in the morning may lead to a sleepless night. Caffeine blocks the effects of adenosine, a neurotransmitter thought to promote sleep. Caffeine can also interrupt sleep by increasing the need to urinate during the night. Because caffeine withdrawal can cause headaches, irritability, and extreme fatigue, it may be easier to cut back gradually rather than to go cold turkey. Those who can’t or don’t want to give up caffeine should avoid it after 2 p.m., or noon if they are especially caffeine–sensitive.
  2. Stop smoking or chewing tobacco: Nicotine is a central nervous system stimulant that can cause insomnia. If you continue to use tobacco, avoid smoking or chewing it for at least one to two hours before bedtime.
  3. Limit alcohol intake: Alcohol depresses the nervous system, so a nightcap may seem to help some people fall asleep. Alcohol suppresses REM sleep, and the soporific effects disappear after a few hours. Alcohol also worsens snoring and other sleep breathing problems.

Inspirational Story

Don’t Let Fear Hold You Back

A man once went to a fortune teller, curious to know what she would say about his future. The fortune teller looked into her magic ball and then her facial expression said it all. The man would die, she said, involved in a bus accident. This would happen within two to three months time, but she couldn’t say exactly when. The man went home, depressed and worried telling himself how he never really believed in fortune tellers. Why should he now?

When two months passed, he had thought about what she said, day in and day out. Now he decided to lock himself in his house where he wouldn’t come close to any busses for the next month.

Another 3 weeks went by when the man came down the stairs from his bedroom to make some coffee. His little son had left his toys on the floor of which one was a little toy bus. The man stepped on the bus, after his last step down the stairs, slipped and knocked his head against the stairway railing and died instantly.

Moral of the story: "Live life on the edge, don't lock yourself away."

ePress Release

Low vitamin D linked to heart risk

Low blood levels of vitamin D are associated with an increased risk of cardiovascular problems such as heart attack and stroke, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and Sr. National Vice President Indian Medical association.

A 5–year research with participants in the Framingham Heart Study included 1,739 people, average age 59 and living in Massachusetts city found that those with the lowest levels of vitamin D had a 62 percent greater risk of a cardiovascular event than those with the next highest levels.

According to a report published in the journal Circulation, an hour or so of sunlight on the skin each week allows the skin to produce blood levels of about 30 nanograms of vitamin D per liter of blood, more than enough to prevent a deficiency such as rickets.

Food sources of vitamin D include fortified milk and oily fishes such as salmon.

Recommendations from the U.S. Institute of Medicine call for a daily intake of vitamin D ranging from 200 International Units (IU) for young people, to 400 IU for the middle–aged, to 600 IU for older people.

But getting that amount from food and sunlight may not be easy. A glass of fortified milk contains only about 100 IU of vitamin D. The suggested recommendation is 1,000 – 2,000 IU.

The cardiovascular risk associated with low vitamin D levels was especially greater for people who also had high blood pressure. Their incidence of cardiovascular events was double that of people with higher blood levels of vitamin D.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 88972 people since 1stNovember 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute."

eMedi Quiz

The prevalence of skin infections in HIV infection is approximately:

a. 50–60%
b. 70–80%
c. 90–100%
d. Extremely rare

Yesterday’s Mind Teaser: Lipodystrophy is most characteristically seen with:

a. Zidovudine
b. Nevirapine
c. Indinavir
d. Tenofovir

Answer for yesterday’s Mind Teaser: c. Indinavir

Correct Answers received from: Dr Jainendra Upadhyay, Dr Poonam Chablani, Dr Avtar Krishan, Dr K V Sarma, Dr Chandresh Jardosh.

Answer for 21st May Mind Teaser: 2.Trophic ulcer.

Correct Answers received from: Dr Prakash Khalap, Dr Jayashree Sen, Dr Bitaan Sen.

Send your answer to ijcp12@gmail.com

Zee News – Health Wealth Shows

Cancer Prevention
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Fluid Intake


Total CPR since 1st November 2012 – 88972 trained

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

Health Check Up Camp at Modern Era Public School, 16th May 2014

press release

Rapid flu test more accurate when positive

video of day video of day


IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :


Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh by God! Why was additional insulin given?
Lesson: Make sure that the insulin dose is correctly calculated. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

eMedinewS Humor

The Vicious Circle

The boss calls his secretary and says, "Get ready for the weekend. We are going on a business trip."

The secretary calls husband and says, "Me and my boss are going on a business trip for 2 days, so take care of yourself."

The husband calls his mistress and says, "My wife is going on a business trip. Come home we can have fun."

The mistress calls the boy to whom she gives tuition, "No tuition this weekend."

The boy calls his grandfather, "Grandpa at last we can spend this weekend together."

Grandpa (The boss) calls his secretary and says, "Business trip is canceled. I'm going to spend weekend with my grandson."

The secretary calls husband, "I won’t be going"

The husband calls his mistress, "I am sorry, my wife is not going."

The mistress calls boy, "You have tuition."

Boy calls his grandpa and says, "Sorry grandpa I’ve classes."

The grandpa calls secretary and…

Quote of the Day

A total commitment is paramount to reaching the ultimate in performance. Tom Flores


Twitter of the Day

Dr KK Aggarwal: ECG not reliable marker for predicting heart disease http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Harness the power of intention http://bit.ly/WAYHF_DC #WAYHF


medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update
  1. Dear Sir, very informative newspaper. Regards: Dr Sapna
cardiology news

Media advocacy through Web Media

web mediawebmediawebmedia

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)